The patient had a non stop coughing spell. He had prominent neck veins and beet red face.He was aspirating food all the times.This was his one of many hospital admissions for recurrent pneumonias.
Finally it was decided by medical team to have him nothing per orally.He almost begged for at least having jello for him.The request was granted with understanding of risks by the patient.Sadly he aspirated again.
As I discussed with him about risk of dying from aspiration of food and now for him no food,eating or drinking,for life.He looked at me,smiled and said,"goodbye old jello".That was a sobering moment.
How some people find words to say it all is funny and heartbreaking.To some eating food is life,for others life is not eating at all.
In reality,the choice seems to be a forced one !